NPI | 1306880034 |
---|---|
Former Name | MARY LINDA OWEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KY 3004742) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3004742) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2023-10-03 |